American Health Information Management Association (AHIMA) Certification Practice Exam

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For a patient undergoing a breast biopsy with localization clip placement, which additional CPT code should be included?

  1. 19295

  2. 76942

  3. 10022

  4. 10022, 76942

The correct answer is: 19295

For a patient undergoing a breast biopsy with localization clip placement, including an additional CPT code is necessary to accurately capture all the procedures performed. The code 19295 specifically refers to the placement of a localization device into the breast, which is a critical component in guiding the biopsy procedure. This code ensures that the localization of the clip is appropriately documented and billed, reflecting the complete scope of the intervention. Localization clips are used to help pinpoint the exact area of interest during a breast biopsy, and it is essential to report the placement separately to provide a thorough and precise billing for the services rendered. The use of this code supports reimbursement for not just the biopsy but also for the additional procedural step of placing the localization clip. The inclusion of other codes, such as those related to ultrasound guidance or specific biopsy techniques, may not be necessary if the primary focus is on the localization of breast tissue. Therefore, the selection of the code related to the placement of the localization device is both relevant and required for comprehensive coding in this scenario.